Constipation after 60: start with the three safest levers

Stool changes are common, but persistent constipation deserves a medication and red-flag review.

Start with the safest three levers

1. Fluids earlier: A glass of water in the morning and with meals helps more than late-night chugging.
2. Fiber slowly: Add 5g/day for a week, then increase. Sudden jumps cause gas and cramps.
3. Daily movement: A short walk after meals supports gut motility better than one long workout on weekends.

Common medication contributors

• Iron supplements, opioids, some antihistamines, and some bladder medicines.
• Calcium supplements (especially without magnesium or adequate fluids).

Red flags—call promptly

• New constipation with unintentional weight loss.
• Blood in stool, black/tarry stools, or persistent vomiting.
• Severe belly pain, fever, or no gas/stool with bloating.

When to discuss laxatives

If lifestyle changes fail after 1–2 weeks, ask your clinician about a short course plan. Avoid using stimulant laxatives daily without guidance.

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